| NPI | 1801154521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345321-01) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00371400) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP011878) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2020-01-05 |